Lymph node enlargement

Patient : My son has enlarged lymph nodes. Has4 one was removed when he had tonsils and adnoids removed. It was benign no disease process. Most of time lymph nodes,are small and occasionally get larger.can't see them but can feel them they are behind his ,1ear and on both sides of his neck in the clavicle area. In the past three days the lymph node behind his ear is noticeably larger and can be seen. seen. His pediatrician said some kids have large lymph nodes. He has no other areas where his lymph nodes,'re enlarged. He is being treated for acne with oral foundation. What is causing him to have theses enlarged lymph nodes. He is not sick.
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